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目的 :了解儿童肾小球疾病的临床表现与病理之间的关系。方法 :对 83例肾活检患儿的临床与病理资料进行对比分析。结果 :系膜增生性肾炎占 4 5 .8% ,其临床表现为各种肾脏疾病 ;毛细血管内增生性肾炎占 1 3.3% ,微小病变型占 9.6 % ,新月体肾炎占 8.4 % ,局灶性节段性肾小球硬化症和膜性肾病各占 7.2 % ,Ig A肾病占 4 .8% ,膜增生性肾炎占 3.6 %。结论 :儿童肾小球疾病最常见的病理类型为系膜增生性肾炎 ,临床主要见于肾病综合征和紫癜性肾炎 ,其次为链球菌感染后肾炎
Objective: To understand the relationship between clinical manifestations and pathology in children with glomerular disease. Methods: The clinical and pathological data of 83 children with renal biopsy were analyzed. Results: mesangial proliferative glomerulonephritis accounted for 45.8%, its clinical manifestations of various kidney diseases; capillary proliferative nephritis accounted for 3.3%, micro-lesion accounted for 9.6%, crescentic nephritis accounted for 8.4%, Bureau Focal segmental glomerulosclerosis and membranous nephropathy accounted for 7.2%, IgA nephropathy accounted for 4.8%, membranous proliferative nephritis accounted for 3.6%. Conclusion: The most common pathological type of glomerular disease in children is mesangial proliferative glomerulonephritis. The main clinical manifestations are nephrotic syndrome and purpuric nephritis, followed by streptococcal nephritis